GLC On-The-Go is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Torrance, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 10/19/2026 Duration...

Description Care Manager MSW at Providence Healdsburg Hospital in Healdsburg, CA. This position is Per Diem and will work 8-hour, Day shifts. Providence Healdsburg Hospital is committed to delivering top-notch healthcare, earning recogn...

American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 10/26/2026 Durat...

Uniti Med is seeking a travel Home Health Utilization Review for a travel job in Webster, New York. Job Description & Requirements Specialty: Utilization Review Discipline: Therapy Start Date: 10/26/2026 Duration: 13 weeks 40 hours ...

How you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays... and on a timely basis. Interface with managed care organizations, external reviews, and other payers. Communicate with physicians...

are completed thoroughly and on a timely basis. Interface with managed care organizations, external reviews, and other payers.... Communicate with physicians to schedule peer to peer reviews. Accurately report denials. Qualifications and requirements...

required for highly-complex and/or escalated reviews, and providing expert guidance to team members and partnering with the health care... and/or escalated reviews, and providing expert guidance to team members and partnering with the health care team, members...

Production Packers Marathon Staffing is hiring Production Packers to support a fast-paced production environment. If you enjoy hands-on work, take pride in quality, and want to be part of a team, we’d love to hear from you. Pack and prep...

Production Packers Marathon Staffing is hiring Production Packers to support a fast-paced production environment. If you enjoy hands-on work, take pride in quality, and want to be part of a team, we’d love to hear from you. Pack and prep...

Production Packers Marathon Staffing is hiring Production Packers to support a fast-paced production environment. If you enjoy hands-on work, take pride in quality, and want to be part of a team, we’d love to hear from you. Pack and prep...

staff in the process of providing utilization review. Plans, assigns, reviews and evaluates the work of assigned staff... clinical reviews utilizing the appropriate guidelines, policies, and timelines. Identifies, develops, and implements strategies...

). Responsibilities will range from individual obligor and portfolio reviews to management of CRR teams as Reviewer-in-Charge (RIC... managers. Execute Target Reviews/Examinations of individual obligors for alignment with bank credit risk standards including...

and appropriateness of all hospital admissions per established criteria Performs concurrent medical record reviews to justify continued... and case management to streamline patient transitions and reduce readmissions Reviews and monitors patient charts in alignment...

prospective, concurrent, and retrospective drug utilization reviews. Evaluate prescribing patterns against clinical guidelines... recommendations for prescribers to optimize therapy and reduce risk. Document reviews and ensure compliance with state, federal...

is Per Diem and will work 8-hour, Day shifts. Provide prospective, retrospective, and concurrent utilization reviews... for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers...

, quality reviews, and regulatory reporting activities. Required Qualifications 3+ years of healthcare data analysis, SIU...

: Conduct prospective, concurrent, and retrospective medical necessity reviews for admissions and service requests to ensure...

prospective, concurrent, and retrospective drug utilization reviews. Evaluate prescribing patterns against clinical guidelines... recommendations for prescribers to optimize therapy and reduce risk. Document reviews and ensure compliance with state, federal...

prospective, concurrent, and retrospective drug utilization reviews. Evaluate prescribing patterns against clinical guidelines... recommendations for prescribers to optimize therapy and reduce risk. Document reviews and ensure compliance with state, federal...

. Reviews, prepares, and reconciles financial statements and transactions, ensuring accuracy and compliance with accounting...